<div class="title">{ %lang l1}</div>
<form action="" method="post">
<table cellspacing="4" cellpadding="4">
<tr><td>{ %lang o4}</td><td><input type="text" name="name" /></td></tr>
<tr><td colspan="2"><input type="Submit" name="Submit" value="{ %lang l2}"></td></tr>
</table>
</form>
